THE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE LLC NPI 1760748800

NPI Information

  • NPI: 1760748800
  • Provider Name: THE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE, LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 5601 LOCH RAVEN BLVD
    SMYTH PROFESSIONAL BLDG., SUITE 200
    BALTIMORE, MD
    ZIP 21239
  • Phone: (443) 687-9990

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NPI Details

THE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE, LLC is a plastic surgery in Baltimore, MD. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. THE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE, LLC NPI is 1760748800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5601 LOCH RAVEN BLVD
SMYTH PROFESSIONAL BLDG., SUITE 200
BALTIMORE, MD
ZIP 21239-905
Phone: (443) 687-9990
Fax: (443) 740-9278

The provider's authorized official is David Zachary Martin .
The authorized official title is Owner/physician and has the following contact phone number (443) 687-9990.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 9/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryD0058474MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1107100OTHERMARYLANDJOHN HOPKINS - EHP, PRIORITY PARTNERS, US FAMILY
21760748800OTHERMARYLANDAETNA ALL PRODUCTS
31972585206OTHERMARYLANDBRAVO
41760748800OTHERMARYLANDMEDSTAR FAMILY CHOICE
5DS9899OTHERMARYLANDRAILROAD MEDICARE
6AB87OTHERMARYLANDCAREFIRST BLUECROSS BLUESHIELD ALL PRODUCTS
71760748800OTHERMARYLANDAMERIGROUP
81760748800OTHERMARYLANDUNITED HEALTHCARE ALL PRODUCTS EXCEPT AMERICHOICE
91760748800OTHERMARYLANDMARYLAND PHYSICIANS CARE
101188979OTHERMARYLANDCIGNA
11241128YHPYMEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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